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Organization
TRINITY MEDICAL CENTER, P.C.
Active
Organization
TRINITY MEDICAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR PETROS AL-MATCHY M.D. (OWNER PRESIDENT)
(586) 275-0065
Entity
Organization
Contact information
Practice address
37300 DEQUINDRE RD, SUITE 120, STERLING HEIGHTS, MI 48310-3591
(586) 275-0065
(586) 275-0066
Mailing address
37300 DEQUINDRE RD, STE 120, STERLING HEIGHTS, MI 48310-3591
(586) 275-0065
(586) 275-0066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301070663
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301070663
STATE LICENSE
MI
05
—
4889519 10
—
MI
01
—
700E027480
BCBS
MI
Enumeration date
07/28/2006
Last updated
01/03/2014
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